Related Experiment Video
Updated: Dec 30, 2025
Manual Therapy for a Chronic Non-Specific Low Back Pain Rat Model
Published on: August 11, 2023
A methodological review revealed that reporting of trials in manual therapy has not improved over time
Gerard Alvarez1, Ivan Solà2, Mercè Sitjà-Rabert3
1Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau, IIB Sant Pau, Barcelona, Spain; Foundation Centre for Osteopathic Medicine Collaboration, Spain National Centre, Barcelona, Spain.
Objective:
The aim of this review was to evaluate a selection of major reporting aspects in manual therapy (MT) trials, before and after the publication of the CONSORT extension for nonpharmacological trials (CONSORTnpt) STUDY DESIGN AND SETTING: We randomly selected 100 MT trials published between 2000 and 2015 and divided them into a pre-CONSORTnpt (n = 50) and a post-CONSORTnpt (n = 50) group. We extracted data on relevant issues of internal validity, reliability, and description of interventions. Two authors extracted data independently. Percentages were used for descriptive analyses, and Fisher's exact test and the chi-square test were used for group comparisons.
Results:
Six different types of MT interventions with up to 20 controls were analyzed. The most common populations/conditions studied were healthy subjects and subjects with lower back or neck pain. Over 70% of studies included multi-session interventions, and 42% of studies reported long-term followup. The only significant differences between groups were the inclusion of a flowchart diagram, the estimated effect size, precision descriptions, and the description of intervention procedures.
Conclusion:
Our findings suggest that trials in MT show poor reporting even after the availability of standardized guidelines.
